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Nigerian Field Society

NIGERIAN FIELD SOCIETY – LAGOS BRANCH

Annual Membership Form: Calendar Year 2017

(COST N3,000.00 PER PERSON OR FAMILY*)

AFTER DELIVERING YOUR FORM TO QUINTESSENCE, PLEASE EMAIL: This email address is being protected from spambots. You need JavaScript enabled to view it.  TO ACTIVATE YOUR MEMBERSHIP AND TO ENSURE THE PROMPT DELIVERY OF THE LATEST NFS NEWSLETTER.

DATE:  __________________

NAMES OF ADULT        ________________________________________________

FAMILY MEMBERS     

(first and surnames):     ________________________________________________

EXISTING NFS MEMBER in 2016?        ¨ YES                         ¨NO    Joined in__________

 

TELEPHONE NUMBER:_________________________________________________

IF YOU ARE RENEWING YOUR MEMBERSHIP, ONLY COMPLETE THE QUESTIONS BELOW IF YOUR PERSONAL DETAILS HAVE CHANGED SINCE 2016.


HOME ADDRESS:_____________________________________________________

____________________________________________________________________

COMPANY NAME & POSITION HELD IN COMPANY:  ________________________

____________________________________________________________________

NATIONALITY:________________________________________________________

 

PHONE NUMBER 2:_____________________________________________________________

 

For all correspondence; please PRINT CLEARLY!

E-MAIL ADDRESS 1:____________________________________________________

E-MAIL ADDRESS 1:____________________________________________________

We are always keen to arrange new trips and to engage new speakers.  Please provide your suggestions or ideas on how you can help below:

Please note that participation in NFS events is entirely at one’s own risk.

PLEASE ENCLOSE N3, 000.00 IN CASH WITH THIS FORM AND DELIVER TO QUINTESSENCE, a shop in Ikoyi.  Enter the Parkview Estate Gate, off Gerrard Road, and QUINTESSENCE is located immediately to your right (Plot 13, Block 44). Call/email Robin or Hugh Campbell 0807 277 8322 or 0803 711 9294 robin.campbell52 @ gmail.com to learn more about the NFS.

MEMBERSHIP LASTS TO THE END OF THE CALENDAR YEAR 2017.

* Spouses, partners and children all count as family members

2017  Nigerian Field Society